Individual provider · Type 1 NPI

Jessica Lyn Mangan, BCBA

Behavior Analyst · Woburn, MA

NPI number 1902579709 Active

Practice location

100 Sylvan Rd Ste G700
Woburn, MA 01801-1817

Fax (781) 569-5112

Mailing address

30 Rich St Apt 23
Malden, MA 02148-7844

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X39158 (MA)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1902579709

Jessica Lyn Mangan, BCBA's National Provider Identifier is 1902579709, issued on Jul 28, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Woburn, MA. The record was last updated on Jul 28, 2021.